Douglas Berger psychiatrist in Tokyo is a fully bilingual Japanese/English American board-certified psychiatrist and Director of the Tokyo Meguro Counseling Center. Dr. Berger received his M.D. and psychiatry training from New York Medical College, and his Ph.D. from the Department of Psychosomatic Medicine at the Tokyo University School of Medicine.

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> About Douglas Berger Psychiatrist Tokyo–credentials, publications and more.

> Reviews from clients of Dr. Douglas Berger

Douglas Berger

Dr. Berger can be contacted by phone: 03-3716-6624 (+81-3-3716-6624 from outside of Japan). Use the intake form or inquire through the Tokyo Meguro Counseling Center’s Home Page.

Botulinium toxin blocks acetylcholine release leading to paralytic and autonomic symptoms of botulinium. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.

MELAS: maternally inherited encephalopathy w/strokes & seizures sparing white matter. Cerebral vessel mutation load is seen. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.

Skin tumors, Lisch nodules of the iris, café-au-lait spots on the skin is a sign of a mutation in the NF1 (neurofibromatosis 1 gene). Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.

Narcolepsy: daytime sleepiness w/sleep attacks lasting few min to 30 min & cataplexy-sudden muscle tone loss triggered by emotional factors w/REM sleep onset if spells are longer than 2 min. Us: https://t.co/tReJReVhnP, https://t.co/RyG3aQt9vL, https://t.co/H5KcK7jzxZ.

Ability to write but inability to read one's own writing is usually caused by stroke in the posterior cerebral artery. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.

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Tokyo Counseling: MERRF: maternally inherited mitochondrial encephalopathy https://t.co/OlO7KQ9qua

MERRF: maternally inherited mitochondrial encephalopathy w/myoclonus, epilepsy, ataxia, myopathy. Us: https://t.co/2cyfo9FRgl, https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx.

Tokyo Counseling: Wernicke’s aphasia has fluent but meaningless speech https://t.co/epuq29EIN4

In Wernicke’s aphasia there is fluent but meaningless speech (called paragrammatism). with impaired comprehension due to disturbed access to the internal lexicon. Us: https://t.co/2cyfo9FRgl, https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

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9.11: Cognitive dissonance of our expected world view vs. new reality
is mentally destabilizing: https://t.co/Ie6jbc5Bc6. Us: https://t.co/DnZXryRTna, https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t.

Inclusion myositis common > 50, unresponsive to prednisone and
immunosupressives. Dermatomyositis has a rash over the cheeks and eyes starting in childhood, 50% get neoplasms. Us: https://t.co/DnZXryRTna,
https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t.

Multiple Sclerosis: Interferon β1-b & Glatiramer are disease-changing, Predisone given for acute attacks reduces disease burden, Tizanidine & Liorisalare muscle relaxants that relieve spasticity. Us: https://t.co/DnZXryAivC, https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

Transcranial Magnetic Stimulation (TMS) is indicated for depressed patients who fail one trial of antidepressants at adequate dose and duration. TMS requires 4-6 weeks of treatment. Us: https://t.co/xRzwbqd5dq, https://t.co/oOTzE4A2YJ, https://t.co/vi64mkcH2D.

80% of patients with “stiff-person syndrome” have association with diabetes, polyendocrinopathy, and antibodies to glutamic acid decarboxylase. Us: https://t.co/xRzwbqd5dq, https://t.co/oOTzE4A2YJ, https://t.co/vi64mkcH2D.

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